| Entity Name: | MEDICAL MANAGEMENT OF OCALA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Feb 1986 (39 years ago) |
| Document Number: | J01697 |
| FEI/EIN Number | 592661131 |
| Address: | 2120 SW 22ND PLACE, OCALA, FL, 34471, US |
| Mail Address: | 2120 SW 22ND PLACE, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093169864 | 2016-04-19 | 2016-04-19 | 2120 SW 22ND PL, OCALA, FL, 344717765, US | 2120 SW 22ND PL, OCALA, FL, 344717765, US | |||||||||||||||||||
|
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| Phone | +1 352-732-5042 |
| Fax | 3527326031 |
Authorized person
| Name | MR. WILLIAM E BALD |
| Role | PRESIDENT |
| Phone | 3527325042 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP9319416 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Pizzuti Kevin | Agent | 2120 SW 22nd Pl, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| Pizzuti Kevin | Director | 2120 SW 22ND PLACE, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2017-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
